Severe Hypoglycemia From Evidence to Practice: Guidelines and Policy Development. Alexis Farrington NUR 4745 Practice Pathways III Florida State College at Jacksonville Dr. Susan Shultz, DNP, CCRN, CNE. From Evidence to Practice: Preceptor. Tina Debile , BSN, PCCN (904)308-7300
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NUR 4745 Practice Pathways III
Florida State College
Dr. Susan Shultz, DNP, CCRN, CNE
This area was targeted to discover the most effective and efficient method to establish an evidence-based protocol in accordance with the facility’s policy that:
Limits additional documentation
Manages and controls symptoms
Promotes early identification of symptoms
Prevents adverse events
Functions within facility policy
ADA & AACE Practice Guidelines
National Institute for Health and Clinical Excellence (NICE)
St. Vincent’s Intranet (2011). Policies and Procedures.
Minimum baseline for treatment of hypoglycemia and subsequent symptoms at =/< 70.
Allows more time for recognition of signs, symptoms and treatment targeted at prevention of an episode versus treatment of an event.
Variances in outcomes (previous policy).
(Reider, J. D., 2009)
Data collected from ten patients with varying diagnoses
for staff-friendly protocol.
Study time and duration limited to a few days
Limited data to plot more specific event and evaluation over time
Multiple co-morbidities associated with the cause of alterations in therapeutic levels
- Result in successful outcomes for our patients
- Promote patient and family satisfaction of care
- Maintain the preservation of confidence in our facility’s
- Reinforce competencies of our bedside nurses.
A Comparative Study. Diabetes Technology & Therapeutics, 635-639.
Algorithms and Insulin Pump Suspension. Diabetes Care, 1013-1017.
practice. St. Vincent’s Health System Intranet Policies and Procedures. Retrieved
March 10, 2011from Jaxhealth.com: http://www.jaxhealth.com
Subcutaneous Insulin Infusion: Is It Associated with Poor Glycemic Control. Diabetes
Technology Therapeutics, 93-98.
control. American Association of Clinical Endocrinologists, 801-808.
Blood Glucose </= 70
(If unable to swallow or NPO)